Sue Self, PEER COUNSELOR

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CG60251015 Issued in WA

Practice address

1302 Tacoma Ave S
Suite #306
Tacoma, WA 98402-1906

Phone

(253) 396-5000

Fax

(253) 383-5548

NPI assigned

Oct 27, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sue Self Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1528344009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 TACOMA AVE S",
            "address_2": "SUITE#306",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021903",
            "telephone_number": "253-396-5000",
            "fax_number": "253-383-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 TACOMA AVE S",
            "address_2": "SUITE #306",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021906",
            "telephone_number": "253-396-5000",
            "fax_number": "253-383-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "PEER COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CG60251015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "SELF",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Floyd Sekeramayi, M.D.
• Kimberly Ann Selby
• John Henry Selden, PT
• Select Services by Ops, PLLC
• Stephanie Karen Self-Bence, LICSW
• William T. Sellers, CRNA
• Megan Sierra Selvage, LMHC
• Karl Harry Sembroski, PA-C
• David Charles Semerad II, M.D.
• Roy Alfred Semlacher, MD

• Community/Behavioral Health Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.